Atch 6_Past Performance Questionnaire_7 Aug 2023.docx

Attachment 6

FA300223R0020

7 Aug 2023

PAST PERFORMANCE QUESTIONNAIRE

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104

1. The contractor listed in Section 1 below is being considered in a Source Selection by the 338th Enterprise Sourcing Squadron (ESS), Joint Base San Antonio-Randolph, TX. You have received this questionnaire because you have been identified as a source of Past Performance Information for that contractor/offeror. Any comments you can provide regarding the past performance of the contractor providing this form is greatly appreciated.

2. Please complete the attached questionnaire for the contractor and contract described in Section 1 below (to be completed by the offeror) based on the following guidance. Send the completed questionnaire to Contracting Officer: Melissa Gonzalez via e-mail at melissa.gonzalez.6@us.af.mil. Do not send the completed questionnaire to the contractor. We appreciate your help.

PLEASE FILL IN ALL SECTIONS. STATE “NOT APPLICABLE” IF QUESTION DOES NOT APPLY OR YOU HAVE NO COMMENT. YOUR PROMPT RESPONSE WILL BE ONE OF THE KEYS TO THE SUCCESSFUL AND TIMELY COMPLETION OF THE SOURCE SELECTION.

3. Indicate a rating, based on the description below, for the contractor’s performance on the identified contract. Underline the selected rating. Assessments should reflect only contractor liable performance. The following is a definition of the rating levels.

Exceptional

EX

Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good

VG

Performance meets contractual requirements and exceeds some requirements to the Government’s benefit. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory

SAT

Performance meets contractual requirements. The contractual performance of the element being assessed contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal

MAR

Performance does not meet some contractual requirements. The contractual performance of the element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s actions appear only marginally effective or were not fully implemented.

Unsatisfactory

UNS

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Not Applicable

NA

Unable to provide a score. Performance in this area is not applicable to the effort assessed.

4. Please provide narrative explanations to support your ratings particularly for high or low ratings. Space for your remarks is provided after each area.

5. In addition to completing the attached questionnaire for the identified contract, please provide comments on any other contracts/programs for which your activity has contracts with this contractor. You are urged to supplement your own knowledge of the contractor’s performance with the judgment of others in your organization.

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor: ________________________________________________________________________________

B. Cage Code of contractor contract was awarded to: _________________________________

C. Contract number: _______________________________________

D. Contract type: ______________________________

E. Was this a competitive contract? Yes _____ No _____

F. Period of performance: _________________________________________________________

G. Initial contract cost: $____________________________

H. Current/final contract cost: $_______________________________

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name: ______________________________________________________________________________

B. Customer or agency description (if applicable): _______________________________________________________________

C. Geographic description of services under this contract, i.e., local, nationwide, worldwide, other Commands:

D. Reasons for differences between initial contract cost and final contract costs: ____________________________

E. Description of service provided ________________________________________________________________

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's name and title: ______________________________________________________________________________________ B. Evaluator's phone number and email address: ______________________________________________________________________________________ C. Evaluator's agency or company name: ______________________________________________________________________________________ D. Length of time (number of years/months) evaluator worked on subject contract: _____________________

SECTION 4: PERFORMANCE EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question.

1. Overall Technical Performance

Comments:

2. Quality of Work

Comments:

3. Schedule Performance

Comments:

4. Cost Performance

Comments:

5. Program Management:

Comments:

5. Staffing

Comments:

Government Contracts Only:

1. Was the contractor ever issued a cure or show cause notice under the referenced contract: YES/NO

If yes, please explain.

2. Has/was this contract partially or completely terminated for default or convenience or are there any pending terminations?

Yes___ Default___ Convenience___ Pending Terminations___ No ___

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc.).

SECTION 5: NARRATIVE SUMMARY

Would you have any reservations about soliciting or awarding another contract to this contractor in the future?

Please provide any additional comments concerning this contractor’s performance, as desired.

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Email: melissa.gonzalez.6@us.af.mil